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Cameron House
Good

Inspection Summary

Overall summary & rating

Good

Updated 30 March 2019

About the service:

Cameron House is a residential care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Cameron House is registered to provide care for up to 18 people. At the time of the inspection, there were 16 people living at the service, some of whom had a diagnosis of dementia.

People’s experience of using this service:

• At our last comprehensive inspection on 3 and 6 April 2018 we identified breaches of Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014. The service failed to ensure the proper and safe management of medicines, to ensure the correct management of pressure relieving equipment, to ensure that people received the care required to meet pressure area risks and to operate effective systems to assess, monitor and improve the service.

• We met with the provider and registered manager and told them they must make improvements to ensure effective systems were operated to comply with regulations and to monitor and improve the quality of the service provided. We added a condition to the location registration requiring them to send us regular action plans, which we have reviewed.

• At this inspection we found that the provider and registered manager had addressed these concerns and they were no longer in breach of the Health and Social Care Act 2008 (Regulated Activities) 2014.

• People told us they were happy living at Cameron House. There was an established staff team that knew people well. One person told us, “Everyone is helpful and there’s always staff about and they are friendly.”

• Quality assurance processes were robust and risks to people and the environment were managed safely.

• The environment was clean and homely. A new kitchen was planned in the near future and some rooms had recently had new flooring, whilst all bedrooms had new curtains.

• Individual and environmental risks were managed appropriately. People had access to appropriate equipment where needed, which meant people were safe from harm.

• Medicines were administered safely and as prescribed. Records confirmed people received their medicines as prescribed and audits were completed to ensure that systems were followed.

• Staff had received appropriate training and support to enable them to carry out their role safely. They received regular supervision to help develop their skills and support them in their role.

• Staff recognised people’s individual needs and supported them to make choices in line with legislation.

• People and their families were involved in the development of personalised care plans that were reviewed regularly.

• The registered manager and provider carried out regular checks on the quality and safety

of the service. A new robust electronic auditing system was in place. This ensure the registered manager could monitor the effectiveness of the service and take action when needed.

• The service met the characteristics of Good in all areas. More information is in the full report.

Rating at last inspection:

The service was rated as Requires Improvement at the last full comprehensive inspection, the report for which was published on 12 October 2018.

Why we inspected:

This was a planned inspection based on the previous inspection rating.

Follow up:

There is no required follow up to this inspection. However, we will continue to monitor the service and will inspect the service again based on the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection ratings

We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:

Outstanding – the service is performing exceptionally well.

Good – the service is performing well and meeting our expectations.

Requires improvement – the service isn't performing as well as it should and we have told the service how it must improve.

Inadequate – the service is performing badly and we've taken enforcement action against the provider of the service.

No rating/under appeal/rating suspended – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon.

Ticks and crosses

We don't rate every type of service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them.

There's no need for the service to take further action. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service.

The service must make improvements.

At least one standard in this area was not being met when we inspected the service and we have taken enforcement action.